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Theresa Antoinette Coalter, OTR/L

Occupational Therapist in West Babylon, NY. Individual provider (NPI-1).

NPI number1932309986
StatusActive
Last updated in NPPESJul 18, 2007

Details

NPI
1932309986
Entity type
Individual (NPI-1)
Name
Mrs. Theresa Antoinette Coalter
Credential
OTR/L
Sex
Female
Sole proprietor
No
Enumeration date
Jul 18, 2007
Last updated
Jul 18, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational Therapist012549-1NYYes

Practice location

178 Millard Ave
West Babylon, NY 11704-7336

Phone 631-539-6244

Mailing address

178 Millard Ave
West Babylon, NY 11704-7336

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